bureau of health services lea ann mcelroy, director sheila thompson donna white sbac regional...

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Page 1: Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional Training
Page 2: Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional Training

Bureau of Health ServicesLea Ann McElroy, Director

Sheila ThompsonDonna White

SBAC Regional Training

Page 3: Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional Training

The Office of Healthy Schools

Special Assistant to the Deputy State Superintendent

Office of Healthy Schools

State Superintendent of Education

Deputy State Superintendent of

Education

Bureau ofChild Nutrition

Bureau ofHealth

Services

Bureau ofSafe & Orderly

Schools

Bureau ofCoordinated

School Health

Page 4: Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional Training

Coordinated School Health Program

Physical Education

Health Education

Health Services

NutritionServices

Counseling, Psychological

Services

Healthy School Environment

HealthPromotionfor Staff

Family and Community Involvement

Page 5: Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional Training

Motivated and Learning

Sense of Positive

Self-Esteem

Sense of Belonging and

Importance

Sense of Being Loved and

Appreciated

Free of Fear and In A Safe place

Physical Health

MASLOW’S HEIRARCHY AND COORDINATED SCHOOL HEALTH

Health Education

Physical Education

Health Services

Nutrition Services Counseling, Psychological and Social Services

Healthy School Environment

Family/Community Involvement

Health Promotion for Staff

Page 6: Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional Training

School-Based Administrative Claiming and the Office of Healthy Schools

Bringing the process “in-house” and eliminating the third-party administrator

School MDE DOM

Page 7: Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional Training

School-Based Administrative Claiming and the Office of Healthy Schools

Designing a web-based reporting system to automate the process

Processing claims in a timely manner

Consistency and accountability

Page 8: Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional Training

Regional training locations

Page 9: Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional Training

School-Based Administrative Claiming Program Guide

Overview of SBAC Implementing SBAC Staff Activities Included Under SBAC Time Study Participants The Time Study Process Training for SBAC Time Study Results and the Cost

Allocation Process Preparing an Invoice for Medicaid

Payment Monitoring and Quality Assurance

Page 10: Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional Training

School-Based Administrative Claiming Program Guide

Appendix B - SBAC Activities List Appendix C - MDE Contacts Appendix E - SBAC Time Study

Activities Appendix I - 2007-2008 SBAC

Calendar Appendix J – SBAC Training (3 Levels) District User’s Guide

Page 11: Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional Training

SBAC Training Modules

Three Levels RMS Participant SBAC District Coordinator MDE SBAC Specialist

Training is designed incrementally, based on the knowledge needed for the level of participation

Each level has a relationship to the entire process

Each level is dependent on the other

Page 12: Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional Training

Level 1 – RMS Participant

What is Medicaid? Who/what is covered? What is EPSDT/Mississippi Cool Kids? What is theCertified School Match Program?

What is SBAC? What is a RMS? Who can be sampled?

Why must I do this? What do I have to do? How do I fill out the form?

True/False test

Page 13: Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional Training

Level 2 – SBAC District Coordinator

Most essential function Mainly computer manipulation Quality control Assurance that deadlines are met Audit compliance piece

Page 14: Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional Training

Level 2 – SBAC District CoordinatorMajor Steps (Employee Roster)

Generate initial roster

Document participant training by deadline

Remove untrained participants by deadline

Submit trained roster by deadline

Page 15: Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional Training

Level 2 – SBAC District CoordinatorMajor Steps (RMS forms)

Track participants’ receipt, completion, and return of RMS forms during the quarter

Verify a percentage of RMS forms

Submit completed RMS forms by deadline

Page 16: Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional Training

Level 2 – SBAC District CoordinatorMajor Steps (Audit file maintenance)

Quarterly invoice ID information on each group member Cost summaries for participant grouping RMS summary Calculations of Medicaid-eligible student

proportions Total costs Financial allocation with written explanation Certification of State Expenditures form

Page 17: Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional Training

Level 3 – MDE SBAC Specialists

Most complete understanding of SBAC Recruit and train participating districts Code un-coded “other” RMS forms Enforce deadlines Validate sample Review invoices Work with Medicaid

Page 18: Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional Training

Using the SBAC Web-based Reporting System